COMPLICATIONS OF CATARACT SURGERY IN PATIENTS WITH PSEUDOEXFOLIATION SYNDROME
AbstractBackground: The weak zonule’s predisposition to complications during conventional cataractsurgery is one of the common risk factor for poor visual acuity after surgery. The present studywas conducted to determine the frequency and types of complications during cataract surgery inpatients with Pseudoexfoliation Syndrome. Methods: A cross sectional descriptive study based onnon probability sampling of patients having pseudoexfoliation syndrome admitted for cataractsurgery in tertiary care hospitals was carried out spread over 4 years. The data of all variables ofinterest were entered and analyzed through SPSS version 15.0. Results: A total of 200 eyes of 122patients having Psuedoexfoliation were included in the study. Vitreal prolapse in 21 (10.5%) andposterior capsular rupture in 18 (9%) patients were the most common complications seen inPseudoexfoliation. Damage to sphincter pupillae in 16 (8%), iridodialysis in 2 (1%), decentrationof IOL in 8 (4%) and hyphaema in 2 (1%) patients was seen. Zonular dialysis in 8 (4%), retainedlens matter in 12 (6%) and lens dislocation was seen in 6 (3%) patients. Conclusion: Patients withpseudoexfoliation are at increased risk for development of complications. Ophthalmologistsshould stress to increase awareness among general public for the proper diagnosis and convincepatients for proper and regular follow up visits to the hospital.Keywords: Pseudoexfoliation, Cataract, Complications, Intraocular pressure
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